• Care Home
  • Care home

Archived: Clifton Manor Limited

Overall: Good read more about inspection ratings

67 Manor Road, Wallington, Surrey, SM6 0DE (020) 8669 5305

Provided and run by:
Clifton Manor Limited

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Background to this inspection

Updated 17 March 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service and to provide a rating for the service under the Care Act 2014.

The inspection was undertaken by one inspector on 9 January 2017 and was unannounced.

Before the inspection we reviewed information we held about the service. This included previous inspection reports and notifications. A notification is information about important events, which the service is required to send us by law.

We were unable to speak with people due to their complex needs; however we spoke with two relatives, two members of staff and the manager. We observed care and support in communal areas in an informal manner. We also used the Short Observational Framework for Inspection (SOFI) as people were not able to express their views with us. SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

We inspected three people’s care records, three staff records and other records relating to the management of the service. After the inspection we spoke with two healthcare professionals who also supported people living in the home.

Overall inspection

Good

Updated 17 March 2017

The inspection took place on 9 January 2017 and was unannounced. At our last comprehensive inspection on 25 November 2014 the service was rated as ‘Good’ overall.

Clifton Manor provides care and accommodation for up to eight people with complex needs and learning disabilities. All the people had complex needs and were unable to speak with us about their experiences directly. We did however note their non-verbal gestures and we spoke with relatives and healthcare professionals to ensure we gained a wide view of the service we inspected. On the day of the inspection six people lived at the home.

After the inspection on 25 November 2014 the registered manager at that time left and a new manager came into post and registered with the Care Quality Commission (CQC) in 2015. They then left in 2016 and a new manager started in May 2016. At the time of this inspection they were in the process of registration with the CQC. A registered manager is a person who has registered with the CQC to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

On our tour of the premises we found the décor over the whole house to be rather tired and in need of repainting and redecoration. This meant that people were not living in surroundings that were as pleasant and maintained as possible.

Staff knew how to help protect people if they suspected they were at risk of abuse or harm. Risks to people’s health, safety and wellbeing had been assessed and staff knew how to minimise risks and manage identified hazards in order to help keep people safe from harm or injury.

There were sufficient levels of staff to meet people’s needs. This was endorsed by the relatives we spoke with and healthcare professionals and staff alike.

People received their medicines appropriately and staff knew how to manage medicines safely.

Staff had the relevant skills they required to meet people's needs. They had access to effective training and supervision support that equipped them with the skills they required to support people. They had a good understanding of the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards. They supported people in accordance with the relevant legislation and guidance.

People had access to a variety of nutritionally balanced meals. Staff provided the support people required to have timely access to health care services when they needed them.

Individualised care plans were in place detailing how people wished to be supported. These had been produced jointly with relatives, staff, healthcare professionals and where possible people using the service.

Relatives told us they were made to feel welcome and were able to visit their family members when they wished to.

An activities programme was in place that was under review to extend the range of options for people. People were able to choose how they spent their time and what activities they participated with.

There was a complaints procedure in place and relatives of people felt confident they could raise any concerns either with the staff or with the registered manager if they needed to. The complaints procedure was available in different formats so that it was accessible to everyone.

Staff told us there was an open and honest culture within the team. The manager welcomed feedback about service delivery from people, their relatives and staff. There were processes in place to review the quality of service delivery and where required action was taken to address areas of concern. Staff were aware of their roles and responsibilities and liaised with their management team about any concerns identified. The manager and staff team liaised with other health and social care services to review their joint working arrangements.